Mass effect vagina-Signs and Symptoms of Vaginal Cancer

I don't get it Am I supposed to laugh? Ha haha, ha. No, it's not an upside down vagina, and I wouldn't even have thought about that, if you hadn't implied it was that. To my eyes it is a womb with two hands on either side.

Mass effect vagina

Mass effect vagina

Upon laparotomy, a lithotomy position was used, and an Masx approach was established. Keywords: Vaginal sarcoidosis, Endometrial cancer, Granulomatous inflammation. Atkins K. Vojnosanitetski Pregled. Sarcoidosis of the female genital tract: a case presentation and survey of the world literature. It is Mass effect vagina important to consult subspecialists to ensure Hyannis vintage auto evaluation for other possible etiologies as well as obtain expert advice on appropriate treatment regimens and follow up.

Roll model teachers. 1. Introduction

Loop electroexcision. Stage II. Introduction Leiomyomas are the most common benign tumor in women [ 1 ]. Atkins K. Extrauterine tumors are rare manifestation and can be found anywhere in the body. See vaagina list of all the medical forums Causes of Vaginal mass Based on Risk Factors This information shows analysis of the list of causes of Vaginal mass based on whether certain risk factors apply to the patient: Travel - has the Mass effect vagina travelled recently? But these symptoms should always be evaluated by a doctor. In this case, the abdominal approach was not able to help reach the mass and enable its resection. That's because the surgery tends to be extensive. Billings S. A case of massive broad ligament leiomyoma imitating an ovarian Mass effect vagina. Kurman R. Serden S.

Granulomatous inflammation is a histologic pattern containing histiocytes, or activated macrophages, that can be seen in tissues following cell injury.

  • Medically reviewed by Drugs.
  • Leiomyomas are the most common pelvic tumors in women.
  • Vaginal mass: a localised lump or swelling in the vaginal region is know as a vaginal mass.
  • .

Leiomyomas are the most common pelvic tumors in women. Rare conditions of leiomyomas have extrauterine locations. Myxoid degeneration is a rare type of leiomyoma degeneration. Regarding the inferior location of the mass, a perineal approach was used to enucleate it. This rare location has not been mentioned before. The woman was finally diagnosed by pathologists which was myxoid leiomyoma.

Leiomyomas are the most common benign tumor in women [ 1 ]. In general, leiomyomas are rubbery solid tumors, but infrequently they may undergo myxoid degeneration.

The uterus is the most common location [ 1 ], but rare cases have been reported in cervix [ 2 ], vaginal canal [ 3 ], broad ligament [ 4 ], and ovaries [ 5 ]. Most leiomyomas are asymptomatic and are diagnosed incidentally. Surgical resection is a part of multimodality treatment. Here, we report a case of myxoid leiomyoma in a year-old woman with pelvic rare location between vagina and rectum; the mass was enucleated by transperineal incision. To our knowledge, this location was not reported before.

A year-old woman with no previous medical history was admitted to our center complaining of malodorous vaginal discharge and sever constipation. Her symptoms began a year ago; the patient suffered from moderate constipation and urinary hesitancy. Her symptoms developed to severe constipation, urinary hesitancy, and malodorous vaginal discharge with inability to defecate unless in standing position. The examination under general anesthesia demonstrated the same findings.

Laboratory findings were within normal limits, except for a mild leukocytosis cells per mm 3. Vaginal secretions were sent to analysis and revealed fibrin, erythrocytes, and very rare benign endometrial elements.

Sigmoidoscopy showed a mass pressing the anterior wall of the rectum with no mucosal abnormalities. Contrast enhanced computed tomography CT. Upon laparotomy, a lithotomy position was used, and an abdominal approach was established.

The uterine was found enlarged with no other abnormalities. The peritoneum of rectouterine pouch was incised and the big mass was found with no connection to the vagina or the rectum. A perineal incision was made and the mass was enucleated en bloc Figure 2 without any damage to the surrounding structures, vagina and rectum.

We used a corrugated rubber drain which was drone 24 hours later with no complications. The patient was discharged 72 hours after surgery with relief of constipation and urinary hesitancy. She visited the surgical clinic 3 months later with no urologic, gastroenterological, nor gynecologic complications and no recurrence.

The enucleation process through the transperineal incision and gross appearance of the mass. Microscopically, the nodules are composed of fascicles and bundles of spindle cells having elongated bland nuclei; the remaining tissue showed thick-walled blood vessels within edematous myxoid stroma.

Neither necrosis nor irregular mitotic activity could be seen Figure 3 a. Immunohistochemistry revealed nuclear positive response on estrogen receptor Figure 3 c and a negative result on HMB45 human melanoma black 45 and Ki Actin stained the blood vessels walls. Malignancy can be excluded and the final diagnosis is consistent with myxoid leiomyoma. Leiomyomas are the most common pelvic tumors in women [ 6 , 7 ].

They are benign monoclonal tumors arising from the smooth muscle cells; they arise usually from the uterus, but rare cases have been reported in cervix, vaginal canal, broad ligament, and ovaries [ 8 ].

Some reports mentioned unusual growth pattern of leiomyomas like diffuse peritoneal leiomyomatosis, intravenous leiomyomatosis, benign metastasizing leiomyomas, retroperitoneal leiomyomas, and parasitic leiomyomas [ 9 ].

According to many documents, it is still unclear if these lesions represent metastatic or synchronous primary lesions or whether they arise from the hormonally sensitive smooth muscle [ 9 ]. Some studies suggest that these tumors are independent soft tissue tumors rather than parasitic leiomyomas of the uterus [ 10 ].

Others suggest that these tumors can arise anywhere in the body since they probably arise from smooth muscle cells including those in blood vessels [ 11 ].

Other authors explained the rare cases of disseminated peritoneal leiomyomas happing in men with no excess hormones, to the increase responsiveness of tumor cells to normal hormone levels [ 9 ]. Leiomyomas are usually asymptomatic and discovered through routine ultrasound.

Some patients present with mass effect symptoms such as hydroureteronephrosis in retroperitoneal masses, postcoital bleeding in cervical masses, constipation, and urinary hesitancy. In our case, a malodorous vaginal discharge was reported due to leiomyoma's position between vagina and rectum.

Since malignancy is more common in retroperitoneal smooth muscle, radiologic study CT or magnetic resonance imaging MRI is mandatory to evaluate the mass and its relationship to the adjacent structures and blood vessels [ 11 ]. Although radiologic study is important, no test is highly sensitive or specific to give a conclusive decision to rule out malignancy, which is done with histopathological examination [ 11 ].

All previous reports mentioned that the laparotomy and the laparoscopic surgery through the abdomen are the best ways to resect these tumors. In this case, the abdominal approach was not able to help reach the mass and enable its resection. Transperineal incision allowed the enucleation of the mass. The histopathologic application could not definitely confirm the origin of the tumor, whether it arose from the genital tract or from the tissue in the retroperitoneum.

The rectum, vaginal canal, and Denonvillier fascia since it contains smooth muscle cells and blood vessels [ 12 ] can all be possible origins of the mass. Immunohistochemistry is the final step in confirming the results and excluding malignancy.

The positive response of the actin and estrogen receptors confirms that the tumor has a smooth muscle component and suggests the possibility of a genital tract origin. Leiomyomas are benign tumors of smooth muscle. Extrauterine tumors are rare manifestation and can be found anywhere in the body. The resection of the pelvic low tumors may occur through transperineal incision.

Malignancies should always be ruled out in retroperitoneal leiomyomas. The authors would like to thank Dr. Sleiman R. Khalil for his help with histopathologic considerations. The authors declare that there are no competing interests regarding the publication of this paper. National Center for Biotechnology Information , U. Journal List Case Rep Surg v.

Case Rep Surg. Published online Jun Author information Article notes Copyright and License information Disclaimer.

Received Mar 30; Accepted Jun 5. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract Leiomyomas are the most common pelvic tumors in women. Introduction Leiomyomas are the most common benign tumor in women [ 1 ]. Case Presentation A year-old woman with no previous medical history was admitted to our center complaining of malodorous vaginal discharge and sever constipation. Open in a separate window. Figure 1.

Figure 2. Figure 3. Discussion Leiomyomas are the most common pelvic tumors in women [ 6 , 7 ]. Conclusion Leiomyomas are benign tumors of smooth muscle. Acknowledgments The authors would like to thank Dr. Competing Interests The authors declare that there are no competing interests regarding the publication of this paper.

References 1. Kurman R. London, UK: Springer; Kamra H. Myxoid leiomyoma of cervix. Journal of Clinical and Diagnostic Research. Stankova T. Vaginal leiomyoma after total abdominal hysterectomy—clinical case and review of literature. Akusherstvo i Ginekologiia. Bansal P. A case of massive broad ligament leiomyoma imitating an ovarian tumour. Ichigo S. A large ovarian leiomyoma discovered incidentally in a year-old woman: case report.

European Journal of Gynaecological Oncology. Serden S. Treatment of abnormal uterine bleeding with the gynecologic resectoscope. Journal of Reproductive Medicine for the Obstetrician and Gynecologist. Baird D. High cumulative incidence of uterine leiomyoma in black and white women: ultrasound evidence. American Journal of Obstetrics and Gynecology.

The treatment plan also takes into account a woman's age, overall health, fertility, and personal preferences. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. To avoid HPV infection, always use condoms and limit your number of partners. About About Drugs. Fasih N.

Mass effect vagina

Mass effect vagina

Mass effect vagina

Mass effect vagina

Mass effect vagina. Vaginal mass: Introduction

During this exam, he or she will look at the cervix and walls of the vagina with a magnifying lens. Small bits of tissue may be removed and checked for cancer cells in a laboratory. This is called a biopsy. If cancer is diagnosed, your doctor may perform imaging tests to determine whether the cancer has spread and, if so, how far.

These may include. You may also have endoscopic tests. During these tests, your doctor can view the inside of the bladder, rectum, and part of the colon through a tube with a tiny camera on the end. Doctors assign a numerical stage to cancer. The stage indicates how far the cancer has spread.

These are the stages of vaginal cancer:. Stage 0. This is a very early stage. Cancer is only on the surface of the vagina. Stage I. Cancer is confined to the vagina, but it penetrates beneath the surface.

Stage II. Cancer has spread to the tissues just beyond the vagina, but not to the pelvic wall or other organs. Stage III. The affected lymph nodes are on the same side of the body as the tumor.

Stage IVA. Cancer has spread to the rectum and bladder. Lymph nodes on both sides of the body may be affected. Stage IVB. Cancer has spread to other parts of the body, such as the lungs. Cancer has come back after having been treated. It can affect the vagina or other parts of the body. Avoid human papilloma virus HPV infection. HPV is a common sexually transmitted disease that causes genital warts.

Certain types of HPV are associated with cervical and vaginal cancer. If the vagina or cervix gets infected with HPV, cells can grow abnormally.

This increases the chance of developing squamous cell cancer. The risk of HPV infection increases if you begin having sex at an early age.

The risk also increases if you have unprotected sex, have many sex partners, or have sex with a person who has had many partners. To avoid HPV infection, always use condoms and limit your number of partners. Condoms cannot always prevent HPV infection, but they can lower the risk of HIV and other sexually transmitted diseases.

Get regular Pap tests. Many vaginal squamous cell cancers develop from changes in the surface of the vagina. These changes can be detected by a Pap test and treated before full cancer develops. In general, doctors recommend that a woman start to have annual Pap tests before she becomes sexually active or by age 21 at the latest. After three negative Pap tests, your doctor may do the test every two to three years. This will depend on your age and your risk of developing cervical cancer.

Women older than 40 should continue to have an annual pelvic exam. Do not smoke. Women with vaginal cancer have an increased risk of lung cancer. Since lung cancer is related primarily to tobacco use, smoking and vaginal cancer may be linked.

Tell your doctor if your mother or grandmother took DES. He or she may want to monitor you more closely for VAIN and other conditions. The choice of treatment depends upon the type of cancer and its stage. The treatment plan also takes into account a woman's age, overall health, fertility, and personal preferences. The two main treatments for vaginal cancer are radiation therapy and surgery. Chemotherapy has not proven to be very successful for vaginal cancer.

It is only used for very advanced cancers with or without radiation , and then usually as part of a clinical trial. Various types of radiation therapy may be used. These include external-beam radiation, internal radiation, or a combination. External-beam radiation involves carefully targeting a beam of radiation at the cancer from a machine outside of the body. Internal radiation therapy, also called brachytherapy, involves placing radioactive materials inside the vagina. While external-beam radiation can harm nearby healthy tissues, brachytherapy can cause more vaginal side effects, such as scarring of vaginal tissues.

There are two other types of internal radiation therapy. Low-dose brachytherapy involves placing radioactive material inside a cylindrical container, which is placed in the vagina for one to two days. Interstitial therapy involves placing radioactive materials directly into the cancer with needles. Only a small number of vaginal cancers are treated with surgery.

That's because the surgery tends to be extensive. Plus, it may not be any more effective than radiation therapy. One exception: Stage I adenocarcinomas. In these cases, doctors may remove the tumor, some surrounding tissue, and the lymph nodes. This limited operation may be followed by radiation therapy.

This type of treatment can help preserve a woman's fertility. Preserving fertility is important because these cancers are more common in younger women. Women with stage II squamous cell cancers who cannot have radiation therapy—perhaps because they had radiation therapy in the past for another cancer—may also have surgery.

Laser surgery. This involves using a narrow beam of light to kill cancer. It's often used to treat Stage 0 cancers. Loop electroexcision. This involves using low-voltage, high-frequency radio waves in a thin loop of wire to cut away superficial Stage 0 cancers. Vaginectomy combined with radical hysterectomy. Removes the vagina, uterus, and adjacent tissues.

Malignancy can be excluded and the final diagnosis is consistent with myxoid leiomyoma. Leiomyomas are the most common pelvic tumors in women [ 6 , 7 ]. They are benign monoclonal tumors arising from the smooth muscle cells; they arise usually from the uterus, but rare cases have been reported in cervix, vaginal canal, broad ligament, and ovaries [ 8 ]. Some reports mentioned unusual growth pattern of leiomyomas like diffuse peritoneal leiomyomatosis, intravenous leiomyomatosis, benign metastasizing leiomyomas, retroperitoneal leiomyomas, and parasitic leiomyomas [ 9 ].

According to many documents, it is still unclear if these lesions represent metastatic or synchronous primary lesions or whether they arise from the hormonally sensitive smooth muscle [ 9 ].

Some studies suggest that these tumors are independent soft tissue tumors rather than parasitic leiomyomas of the uterus [ 10 ]. Others suggest that these tumors can arise anywhere in the body since they probably arise from smooth muscle cells including those in blood vessels [ 11 ].

Other authors explained the rare cases of disseminated peritoneal leiomyomas happing in men with no excess hormones, to the increase responsiveness of tumor cells to normal hormone levels [ 9 ]. Leiomyomas are usually asymptomatic and discovered through routine ultrasound. Some patients present with mass effect symptoms such as hydroureteronephrosis in retroperitoneal masses, postcoital bleeding in cervical masses, constipation, and urinary hesitancy.

In our case, a malodorous vaginal discharge was reported due to leiomyoma's position between vagina and rectum. Since malignancy is more common in retroperitoneal smooth muscle, radiologic study CT or magnetic resonance imaging MRI is mandatory to evaluate the mass and its relationship to the adjacent structures and blood vessels [ 11 ].

Although radiologic study is important, no test is highly sensitive or specific to give a conclusive decision to rule out malignancy, which is done with histopathological examination [ 11 ].

All previous reports mentioned that the laparotomy and the laparoscopic surgery through the abdomen are the best ways to resect these tumors. In this case, the abdominal approach was not able to help reach the mass and enable its resection. Transperineal incision allowed the enucleation of the mass. The histopathologic application could not definitely confirm the origin of the tumor, whether it arose from the genital tract or from the tissue in the retroperitoneum.

The rectum, vaginal canal, and Denonvillier fascia since it contains smooth muscle cells and blood vessels [ 12 ] can all be possible origins of the mass.

Immunohistochemistry is the final step in confirming the results and excluding malignancy. The positive response of the actin and estrogen receptors confirms that the tumor has a smooth muscle component and suggests the possibility of a genital tract origin. Leiomyomas are benign tumors of smooth muscle. Extrauterine tumors are rare manifestation and can be found anywhere in the body.

The resection of the pelvic low tumors may occur through transperineal incision. Malignancies should always be ruled out in retroperitoneal leiomyomas. The authors would like to thank Dr.

Sleiman R. Khalil for his help with histopathologic considerations. The authors declare that there are no competing interests regarding the publication of this paper. National Center for Biotechnology Information , U. Journal List Case Rep Surg v. Case Rep Surg. Published online Jun Author information Article notes Copyright and License information Disclaimer.

Received Mar 30; Accepted Jun 5. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Leiomyomas are the most common pelvic tumors in women. Introduction Leiomyomas are the most common benign tumor in women [ 1 ]. Case Presentation A year-old woman with no previous medical history was admitted to our center complaining of malodorous vaginal discharge and sever constipation.

Open in a separate window. Figure 1. Figure 2. Figure 3. Discussion Leiomyomas are the most common pelvic tumors in women [ 6 , 7 ]. Conclusion Leiomyomas are benign tumors of smooth muscle. Acknowledgments The authors would like to thank Dr. Competing Interests The authors declare that there are no competing interests regarding the publication of this paper.

References 1. Kurman R. London, UK: Springer; Kamra H. Myxoid leiomyoma of cervix. Journal of Clinical and Diagnostic Research. Stankova T. Vaginal leiomyoma after total abdominal hysterectomy—clinical case and review of literature. Akusherstvo i Ginekologiia. Bansal P. A case of massive broad ligament leiomyoma imitating an ovarian tumour. Ichigo S.

Pelvic Myxoid Leiomyoma Mass between Vagina and Rectum

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Boards Mass Effect 3 Do asari have vaginas? User Info: Nefhith. I think they have whatever it is that the species their mating with requires. I can't remember exactly, but I think it was in the Citadel DLC, where there's a Human, Turian and Salarian watching an Asari stripper and they all make a note of how she looks like their own species.

The Asari that we see is is the 'Human' Asari. Do you want to build a reaper? User Info: DisgracefulSins. I was watching the original Jurassic Park recently, and I recall a quote that some species are able to spontaneously change their own gender in order to mate when needed. It is plausible that, like someone else said, Asari are able to have "both".

Evolution is a bizarre thing. Wingmen- we fly till we die. SRR Capdown posted This happens on Illium in ME2. Those three guys were speculating. The girl from Kingdom Hearts plays for the Cavs? User Info: Talon The human does make a comment " You see that little divot on her abdomen? That's called a belly button.

Only humans and asari have them, and later you're going to be doing shots from it. But I do know that both the salarian and turian saw the same thing as the human.

This implies asari actually do have a navel, and they reproduce exactly like humans, aside from the psychic DNA altering. Which would mean that they do, in fact, have a vagina. Now what other functions it serves is anyone's guess. There are 10 types of people in the world. Those that know binary, and those that don't. User Info: TheHefHugs. The have a vagina like pouch which is where they keep their penis. User Info: SageOfLife. Nefhith posted SageOfLife posted I figure they have a birth canal, but not a vagina.

They probably view vaginal sex very similarly to how humans view anal sex. Just pee and it's not the same hole. Also, asari have vaginas in porn. What I mean is that, in the absence of males, the asari birth canal would evolve in such a way that its only real purpose would be to expel something, in this case a baby, but nothing is meant to go in.

However, to facilitate its purpose, it still has nerve endings. These nerve endings result in some, but not all, asari enjoying vaginal sex, much in the same way that the nerve endings in the anus enable some, but not all, humans to enjoy anal sex. I've put way too much thought into this. TheHefHugs posted More topics from this board Keep me logged in on this device.

Forgot your username or password? User Info: DisgracefulSins DisgracefulSins 4 years ago 15 I was watching the original Jurassic Park recently, and I recall a quote that some species are able to spontaneously change their own gender in order to mate when needed.

User Info: Talon Talon 4 years ago 17 The human does make a comment " You see that little divot on her abdomen? How I would fix the ending spoilers. So I want to get into the multilayer.

Starting for the first time, question about ending no spoilers.

Mass effect vagina

Mass effect vagina